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BLS- CPR Instructor
| Question | Answer |
|---|---|
| Course Introduction: What are the steps in the CHAIN OF SURVIVAL (Out of Hospital) | Immediate recognition, Early CPR, Rapid Defibrillation, Effective ALS & multi-disciplinary post cardiac arrest care |
| What are the skills test requirements? | Students must successfully pass: - Adult CPR with AED - Infant CPR Skills Test |
| What are the Exam Requirements | Score at least an 84% in the exam |
| Can students have the Provider Manual accessable during the course? | Yes. |
| How can you recognize that someone is in cardiac arrest? | They may have unresponsiveness, no breathing (or no normal breathing or only gasping), and no pulse |
| What’s the next thing you should do after recognizing someone in cardiac arrest? | Activate EMS or ask someone to do it |
| Why is high quality CPR so important? | If started immediately after cardiac arrest- it can greatly improve the chances of survival. Untrained bystanders are encouraged to at least provide compressions (i.e. Hands Only CPR) |
| What is the purpose of an AED? | It delivers a shock to terminate the abnormal rhythm and allow the heart’s normal rhythm to resume |
| Rapid defibrillation in combination with high quality CPR does what? | It can double or even triple the chances of survival |
| What are some examples of effective ALS care for cardiac arrest? | 12-Lead or advanced cardiac monitoring, electrical therapy interventions, gaining IV or IO access, giving appropriate drugs & placing an advanced airway |
| After ROSC is achieved - what is the purpose of multi-disciplinary healthcare? | The focus is on preventing the return of cardiac arrest and tailor specific therapies to improve long term survival |
| What is the PEDIATRIC chain of survival? | Prevention of arrest, early HQ CPR, rapid activation of EMS, effective ALS support, and integrated post-cardiac arrest care |
| In children - cardiac arrest is usually linked to what? | Respiratory failure and shock |
| What is the difference between cardiac arrest and a heart attack? | Sudden Cardiac Arrest: the heart develops an abnormal rythm and can’t pump blood Heart Attack: blood flow to part of the heart muscle is blocked |
| What is the compression to breaths ratio for single rescuer ADULT & CHILD | 30 compressions to (2) breaths |
| Rescuer Adult BLS: How long should you feel for a pulse? | No more than 10 seconds |
| Rescuer Adult BLS: How many breaths do you give an adult during rescue breathing? | 1 breath every 5-6 seconds, or about 10-12 breaths per minute Deliver each breath over (1) second |
| Rescuer Adult BLS: Your patient has a pulse, but not breathing.. How often should you check for a pulse on an adult? | About every two minutes - if no pulse, begin CPR |
| Rescuer Adult BLS: Is agonal breathing considered “normal breathing”? | No. Agonal gasps May be present in the first minutes after cardiac arrest. A person usually looks like they are drawing in air very quickly |
| Rescuer Adult BLS: What is the compression rate for an adult? | 100-120/minute |
| Rescuer Adult BLS: How deep are we compressing the chest of an adult in cardiac arrest? | About 2 inches or 5 cm |
| Rescuer Adult BLS: What are the two methods for opening the airway? | Head Tilt- Chin Lift or the Jaw Thrust |
| The air we breathe IN contains how much oxygen? | 21% |
| The air we breathe OUT contains how much oxygen? | 17% |
| When giving compressions- rescuers should switch after every? | 5 cycles of HQ CPR (about every 2 minutes) - or sooner if fatigued |
| What are two life threatening arrhythmias that cause cardiac arrest? | Pulseless Ventricular Tachycardia and Ventricular Fibrillation |
| What is Pulseless Ventricular Tachycardia | The lower chambers of the heart (ventricles) are pumping so fast & inneficiently - that you can’t feel a pulse |
| What is Ventricular Fibrillation? | VF is an arrest rythm - the heart’s rythm becomes disordered. The hearts muscles quiver in a fast & un synchronized way. The heart stops pumping blood |
| What is the purpose of an AED? | It looks for a shockable rythm and prompts the user to deliver a shock to the heart in an effort to “reset” the electrical system of the heart. If a rythm returns & HQ CPR continues- the heart muscle can begin to contract/pump blood effectively...aka ROSC |
| How come you don’t normally attach the pads to the AED before turning it on? | Because then the AED might accidentally analyze your rythm as you’re placing the pads on the patient |
| What’s the next step after a shock is delivered or no shock is advised? | Immediately begin HQ CPR. After about 2 minutes - the AED will advise you to analyze the rythm and deliver another shock if needed. |
| Can you use child AED pads on an adult? | No - the shock dose delivered by child pads is too small for an adult. It’s best to continue with HQ CPR than using child pads on an adult |
| What is Chest Compression Fraction? | The proportion of time that chest compressions are performed during cardiac arrest. A chest compression fraction of 60% is recommended- a goal of 80% is often achievable with good teamwork |
| What are the 6 roles of a High Performance Team in CPR? | Team Leader, Timer/Recorder, Airway, Compressions, AED, Administer Medications |
| Infants are classified under what age group? | Less than (1) year of age - excluding newborns) |
| Children are classified under what age group? | (1) year of age to puberty |
| Infant /Child BLS: How many breaths do you give a pediatric patient during rescue breathing? | (1) breath every 3-5 seconds, or about 12-20 breaths/minute |
| Infant /Child BLS: What is the compression technique for an INFANT? | 2-finger chest compressions |
| Infant /Child BLS: What is the compression technique for a CHILD ? | 1 or 2 hands (whatever is needed to provide adequate depth) |
| What is the universal rate for compressions in all cardiac arrest victims? | 100-120/minute |
| Is the compression-to-ventilation ratio the same for single rescuers on Adults, Children and Infants? | Yes (30:2) * IF two rescuers are present for an infant or child - use 15:2. |
| How deep should you compress an infants chest during compressions? | About 1 1/2 inches or 4cm |
| A pediatric dose attenuator reduces the shock by? | About two thirds. |
| If child pads are not available- can you use Adult pads? | Yes. Adult pads will deliver a higher shock dose, but is preferable over no shock given |
| Adult AED pads can be used on what age group? | Victims 8 years of age or older |
| Child/Pediatric AED pads can be used on what age group? | Victims less than 8 years of age |
| What is the compression-to-ventilation ratio when an advanced airway is in place on either an infant, child or adult? | Continuous compressions without pauses for breaths 1 breath every 6 seconds (10 breaths per minute) |
| Rescue breathing for Adults | 1 breath every 5-6 seconds (about 10-12 breaths per minute) |
| Rescue Breathing for Infants and Children | 1 breath every 3-5 seconds (about 12-20 breaths per minute) |
| What techniques can be used to give breaths to infants? | Mouth-to-mouth-and-nose Mouth-to-mouth |